I hereby apply for admissions to the MM-Sustainability Trisakti University. I declare that the information given in this form is true and correct, and if accepted as student, I will comply with all the conditions, rules and regulations of the university. I acknowledge that the provision
of false or misleading information may result in non-acceptance of this application or immediate exclusion form this university. I authorize
MM-Sustainability Trisakti University where necessary, to obtain from any other education institution evidence of my academic record or
to seek other corroboration with respect to my application.